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Individual

DR. ZACHARY ADAM GRAHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
9350 UNIVERSITY AVE, SUITE 128, WEST DES MOINES, IA 50266
(515) 987-0680
(515) 987-0256
Mailing address
9350 UNIVERSITY AVE, SUITE 128, WEST DES MOINES, IA 50266
(515) 987-0680
(515) 987-0256

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08507
IA
1223G0001X
General Practice Dentistry
5484-015
WI

Other

Enumeration date
03/03/2007
Last updated
11/02/2007
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